2112 AVE X, BROOKLYN, 11235, NEW YORK
| Entity Name | BERNARDITA T. LAZO, M.D., P.C. |
| Entity Number | 2560586 |
| Status | ACTIVE |
| Incorporation Date | 5th October 2000 |
| Dos Process Address | 1035 PARK BLVD, MASSAPEQUA PARK, 11762, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |